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Aged care in Australia is largely structured around fragmented, activity-based funding models that incentivise episodic care rather than outcomes. This contributes to avoidable hospitalisations, polypharmacy, and poor continuity of care for older people. This presentation outlines a multidisciplinary, integrated model of care designed explicitly around value — improving clinical outcomes while reducing system burden. The model brings together GPs, nurse practitioners, registered nurses, geriatricians and care coordinators, supported by structured triage processes and shared clinical data. Implemented across residential aged care and regional settings, the model focuses on early identification of risk, proactive intervention, and coordinated multidisciplinary decision-making. Early results demonstrate improved access to care, reduced escalation to emergency departments, and more appropriate medication management. This session will explore the key design principles underpinning the model, including: • shifting from reactive to proactive care • embedding multidisciplinary collaboration • aligning funding with outcomes rather than activity It will also reflect on implementation challenges, including workforce integration, funding constraints, and variability in local systems. Learning Outcomes - Participants will: • understand how value-based care can be operationalised in aged care • identify practical strategies to implement integrated models • explore implications for policy, funding, and system reform
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